Complaint’s form

Complaint's form

Date: 04/10/2024

To submit your claim, you can fill out the form below or descargar una versión para imprimir, which you will need to fill out, then scan and finally send it to the e-mail .

Business legal name: RUC number: .

1. Identification of the complaining consumer

First name

Last name

Name of parent or guardian (in case you are a minor)

E-mail

Phone number

Address

Department

Province

District

Type of identity document

Identity card number

2. Identification of the contracted good

Type of contracted good:

Product Service

Claimed amount

Description

3. Details of the complaint and the consumer's request

Type of claim:

Complaint: Disconformity related to the products or services. Complaint: Dissatisfaction not related to products or services or discomfort or dissatisfaction regarding customer service.

Detail

Request

4. Observations and actions taken by the seller

Description of actions taken by the seller

* The formulation of the claim does not preclude recourse to other dispute resolution channels, nor is it a prerequisite for filing a complaint. complaint before INDECOPI.

* The seller must respond to the claim within thirty (30) calendar days, with the possibility of extending the term. for up to thirty (30) more days, prior communication to the consumer.

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Complaint's form

1. Identification of the complaining consumer

2. Identification of the contracted good

3. Details of the complaint and the consumer's request

4. Observations and actions taken by the seller

Products

Information

Legal

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